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Exercise interventions significantly improve object control, locomotor, and stability skills in children with autismExercise improves motor skills for children with autism

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Key Takeaway
Consider exercise interventions to improve object control, locomotor, and stability skills in children with autism.

This meta-analysis synthesized data from 31 randomized controlled trials to evaluate the impact of exercise interventions on fundamental motor skills (FMS) in children and adolescents with autism spectrum disorder. The analysis specifically examined three domains: object control skills (OCS), locomotor skills (LMS), and stability skills (SS).

The meta-analysis reported significant improvements across all three domains. Specifically, OCS showed an effect size of Hedges' g = 1.13 (95% CI: 0.67 to 1.59), LMS showed Hedges' g = 1.19 (95% CI: 0.87 to 1.51), and SS showed Hedges' g = 1.08 (95% CI: 0.68 to 1.49). Additionally, longer exercise session times were associated with greater improvements in OCS. For LMS, subgroup analyses suggested greater effects with three sessions per week and durations of 10 weeks or less, though this was not confirmed by meta-regression.

Clinical application of these findings suggests that exercise is an effective intervention for improving motor skills in this population. However, clinicians should note that different motor domains may exhibit distinct responses to specific exercise dosages and durations. No safety data or specific limitations were reported in the analysis.

How this fits prior evidence

This meta-analysis extends the finding that exercise interventions significantly improve overall, gross, and fine motor skills in children with autism. It provides more granular data on specific motor domains, confirming significant improvements in object control skills, locomotor skills, and stability skills. While it identifies a positive association between session length and object control, the specific impact of frequency and duration on locomotor skills remains less certain as meta-regression did not confirm subgroup findings.

Moving your body can do more than just build strength. For children and adolescents with autism spectrum disorder, regular exercise can specifically improve fundamental motor skills. These are the basic movements that help a child navigate the world around them.

Researchers looked at 31 different trials to see how exercise impacts these skills. They found that exercise led to significant improvements in three key areas: object control skills, locomotor skills (the ability to move from one place to another), and stability skills (balance). The data showed that longer exercise sessions were linked to better results in controlling objects.

While the results are promising, the details matter. For example, some data suggested that three sessions a week for up to 10 weeks helped with movement skills, though this specific pattern was not confirmed by all types of statistical checks. These findings highlight how targeted physical activity can support the physical development of children with autism.

What this means for you:
Exercise improves balance, movement, and object control for children and adolescents with autism.

Common questions

What specific motor skills does exercise improve for children with autism?

Exercise helps improve three main areas: object control skills, locomotor skills (moving from place to place), and stability skills (balance). These are all parts of fundamental motor skills that help children navigate their daily lives.

Does the length of the exercise session matter?

Yes, the data shows that longer exercise session times are associated with greater improvements in object control skills. This suggests that staying active for longer periods can have a positive impact on how children handle objects.

How often should children with autism exercise to see results?

Some subgroup analyses showed greater effects on locomotor skills when children participated in three sessions per week for 10 weeks or less. However, this specific schedule was not confirmed by all types of statistical analysis.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedSep 2026
View Original Abstract ↓
PurposeThe objective of this study was to systematically evaluate the effects of exercise interventions on fundamental motor skills (FMS) in children and adolescents with autism spectrum disorder (ASD) and determine whether distinct FMS domains demonstrate differential responses to exercise dosage and intervention characteristics.MethodsA comprehensive search of PubMed, the Cochrane Library, Embase, and Web of Science up to July 2026 identified 31 RCTs. Standardized mean differences were calculated to evaluate the effects of exercise interventions on object control, locomotor, and stability skills. Subgroup and meta-regression analyses examined the effects of intervention characteristics and exercise dosage, while sensitivity analyses and risk of bias assessments evaluated the robustness of the findings.ResultsExercise interventions significantly improved all three dimensions of FMS in children and adolescents with ASD: Object control skills (OCS) (Hedges’ g = 1.13, 95% CI: 0.67 to 1.59), Locomotor skills (LMS) (Hedges’ g = 1.19, 95% CI: 0.87 to 1.51), and Stability skills (SS) (Hedges’ g = 1.08, 95% CI: 0.68 to 1.49). Further analyses revealed domain-specific responses to exercise dosage. Longer exercise session time was associated with greater improvements in OCS, supported by both subgroup analyses and meta-regression. For LMS, greater effects were observed with three sessions per week and interventions lasting ≤ 10 weeks in subgroup analyses, although these findings were not confirmed by meta-regression. No significant dose-related associations were identified for SS.ConclusionExercise interventions improve OCS, LMS, and SS in children and adolescents with ASD. Different FMS domains may show distinct responses to exercise dosage, suggesting that future exercise programs may need to consider the specific characteristics of targeted motor domains.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/view/CRD420251139963, identifier CRD420251139963.
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